| NPI | 1003017286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101268243) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME 112059) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01072242A) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-11-27 |